Seidel's Guide to Physical Examination 9th Edition Ball Test Bank

Chapter 01: The History and Interviewing Process Ball: Seidel?? G?ide ?? Ph??ical E?a?i?a?i??, 9?h Edi?i?? MULTIPLE CHOICE 1. Which ??e??i?? ???ld be c???ide?ed a ?leadi?g ??e??i???? a. ?Plea?e de?c?ibe a?? a???cia?e ...

Chapter 01: The History and Interviewing Process Ball: Seidel?? G?ide ?? Ph??ical E?a?i?a?i??, 9?h Edi?i?? MULTIPLE CHOICE 1. Which ??e??i?? ???ld be c???ide?ed a ?leadi?g ??e??i???? a. ?Plea?e de?c?ibe a?? a???cia?ed ??m???m? ?i?h ???? headache??? b. ?Y ?? d???? ge? headache? ?f?e?, d? ????? c. ?Wha? ac?i?i?ie? affec? ?he ?e?e?i?? ?f ???? headache??? d. ?Wha? ?ime? ?f ?he da? a?e ???? headache? ?he m??? ?e?e?e?? e. ?Wha? ????ie? ??? m??? ab??? ???? headache?? ANS: B Thi? ??e??i?? ???ld limi? ?he i?f??ma?i?? i? ?he ?a?ie???? a???e?. The ??he? ch?ice? all?? ?he patient more discretion about the extent of an answer. TOP: Discipline: Behavioral Science MSC: Organ System: General 2. Which action would best promote accurate translations as well as confidentiality when the ca?egi?e? d?e? ??? ??eak ?he ?a?ie???? la?g?age? a. Ask a person unfamiliar with the patient to translate. b. Have a friend of the patient translate. c. Ask simple leading questions that the patient may understand. d. Use a neighbor as translator. e. Involve the family with the translation. ANS: A NURSINGTB.COM Whe? ??? d? ??? ??eak ?he ?a?ie???? la?g?age, famil? membe?? ?? f?ie?d? ma? ???e a communication barrier and may have issues of confidentiality; a stranger as an interpreter is less biased. TOP: Discipline: Behavioral Science MSC: Organ System: General 3. Periods of silence during the interview can serve important purposes, such as: a. allowing the clinician to catch up on documentation. b. giving you a clue that you should speed up the interview. c. providing time for reflection. d. increasing the length of the visit. e. promoting a calm environment. ANS: C Silence is a useful tool during interviews for the purposes of reflection, summoning of courage, and displaying compassion. It is usually a clue for you to go slower and not to push too hard. TOP: Discipline: Behavioral Science MSC: Organ System: General 4. Which ?ech?i??e i? m??? likel? ?? ?e??l? i? ?he ?a?ie???? ??de???a?di?g ?f ??e??i???? a. Use phrases that are commonly used by other patients in the area. b. U?e ?he ?a?ie???? ??? ?e?m? if ????ible. NURSINGTB.COM Seidel's Guide to Physical Examination 9th Edition Ball Test Bank c. Use language that keeps the patient from being expansive in his or her answer. d. Use proper medical and technical terminology. e. Use the simplest language possible. ANS: B To ensure that your questions have been correctly understood, be clear, and explicit while ??i?g ?he ?a?ie???? idi?m a?d le?el ?f ??de???a?di?g. TOP: Discipline: Behavioral Science MSC: Organ System: General 5. A ?a?ie?? bec?me? ?e??le?? d??i?g ?he hi????? a?d ?a??, ?I d???? ha?e ?ime f?? all of this c???e??a?i??. I??e g?? ?? ge? back ?? ???k.? Y ??? m??? a??????ia?e ?e?????e ???ld be ??: a. stop using open-ended questions and become more direct. b. ask another open-ended question and insist on an answer. c. ask questions about his anger and move closer to him. d. acknowledge his anger and proceed with the history and examination. e. ignore his displeasure and become more assertive about getting answers. ANS: D This is the only answer that resists the tendency for patient manipulation, pursues the i?f??ma?i??, a?d c??f????? ?he ?a?ie???? a?ge?. TOP: Discipline: Behavioral Science MSC: Organ System: General 6. Whe? ??e??i??i?g a ?a?ie?? ?ega?di?g alc?h?l i??ake, ?he ?ell? ??? ?ha? ?he i? ???l? a ??cial d?i?ke?.? Which i?i?ial ?e?????e i? a??????ia?e? a. ?I?m glad ?ha? ??? a?e a ?e?????ible d?i?ke?.? b. ?Ma?? ?e??le ?h? a?e ?eall? alc?h?lic ?a? ?he? a?e ??cial d?i?ke??.? NURSINGTB.COM c. ?Wha? am???? a?d ?ha? ki?d ?f alc?h?l d? ??? d?i?k i? a ?eek?? d. ?If ??? ??l? d?i?k ??ciall?, ??? ????? ?eed ?? ????? ab??? al?a?? ha?i?g a de?ig?a?ed d?i?e?.? e. ?D? ?he ??he? ?e??le i? ???? h???eh?ld c????me alc?h?l?? ANS: C Thi? a???e? cla?ifie? ?he ?a?ie???? ??? ?e?m ?i?h??? a?ki?g a leadi?g ??e??i?? ?? bei?g judgmental. TOP: Discipline: Behavioral Science MSC: Organ System: General 7. A 50-year-old man comes to the primary care clinic. He tells you he is worried because he has had severe chest pains for the past 2 weeks. Which initial history interview question is most appropriate? a. ?Ca? ??? de?c?ibe ?he ?ai??? b. ?The ?ai? d?e???? ?adia?e ?? ???? a?m, d?e? i??? c. ?Ha?e ??? bee? ??ea?ed f?? a??ie?? bef??e?? d. ?D?e? ???? fa?he? ha?e hea?? di?ea?e?? e. ?A?e ?he ?ai?? ????e af?e? ??? ea??? ANS: A Initially, an open-e?ded ??e??i?? i? a m??e a??????ia?e ?e?????e. ?Ca? ??? de?c?ibe ?he ?ai??? is an open-ended question that offers clues to the chief concern. NURSINGTB.COM Seidel's Guide to Physical Examination 9th Edition Ball Test Bank TOP: Discipline: Behavioral Science MSC: Organ System: General 8. M?. A. ??a?e?, ?M? life i? j??? ??? ?ai?f?l. I? i???? ????h i?.? She a??ea?? de??e??ed. Which ??e of the following statements is the most appropriate caregiver response? a. ?T?? ?? ?hi?k ab??? ?he g??d ?hi?g? i? life.? b. ?Y ?? ?h??ld??? feel ?ha? ?a?; l??k a? all ?he g??d ?hi?g? i? ???? life.? c. ?Y ?? ca??? mea? ?ha? ?????e ?a?i?g.? d. ?If ??? ?hi?k ab??? i?, ???hi?g i? ????h ge??i?g ?hi? ???e? ab???.? e. ?Wha? i? life i? ca??i?g ??? ??ch ?ai??? ANS: E Specific yet open-ended questions are best used when the patient has feelings of loss of self-worth and depression. The other responses hurry the patient and offer superficial assurance. TOP: Discipline: Behavioral Science MSC: Organ System: General 9. During an interview, you have the impression that a patient may be considering suicide. Which action is essential? a. Immediately begin proceedings for an involuntary commitment. b. Ask whether the patient has considered self-harm. c. Ask whether the patient would like to visit a psychiatrist. d. Rec??d ?he im??e??i?? i? ?he ?a?ie???? cha?? a?d ?efe? ?he ?a?ie?? f?? hospitalization. e. Avoid directly confronting the patient regarding your impression. ANS: B If you think the patient may bNe cRonsiIderGing Bsu.icCide,Mhe or she probably is. Mentioning it gives permission to talk about it. TOP: Discipline: Behavioral Science MSC: Organ System: General